Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.26 / $923.26 / $1,939.99	Facility		$923.26	$923.26	$1,939.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.26 / $947.26 / $1,078.81	Professional		$923.26	$947.26	$1,078.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.59 / $1,736.29 / $1,939.99	Facility		$1,532.59	$1,736.29	$1,939.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.94 / $1,185.19 / $1,613.06	Professional		$971.94	$1,185.19	$1,613.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,454.99 / $2,133.98 / $2,909.99	Facility		$1,454.99	$2,133.98	$2,909.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,648.99 / $2,133.98 / $2,618.98	Professional		$1,648.99	$2,133.98	$2,618.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,939.99	Facility		$1,254.96	$1,254.96	$1,939.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $1,924.24	Professional		$916.12	$1,254.96	$1,924.24
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $645.22 / $967.84 / $1,458.23	Professional		$645.22	$967.84	$1,458.23